Health Savings Account (HSA)

Open Your Account

  1. Personal Information
  2. Identity Verification
  3. Opening Deposit

Secure Form

This form supports up to 256-bit SSL encryption to protect your personal information while it is in transit.

To learn more about what we do with personal information, view our Privacy Policy

Confirm Information

Please confirm this information before continuing. We'll use this information to help verify your identity.

Verify

Please answer the following questions to help us verify your identity. All questions must be answered within 10 minutes.

Fund Your Account

Now you'll setup your deposit into your new account. This money will be deposited once your new account is approved.

Thank You!

We are currently verifying your application. Here's what to expect next:

    Applicant Information

      Eligibility

        For joint applications, each applicant must have different email addresses and phone numbers in order for us to process your application. If not, please visit our nearest branch office to apply in person.

        To open an account at Guaranty Bank you must reside within our market area. Before proceeding, you must input the zip code of your residence and confirm your eligibility below:

      • OK Your residence is not within our market area. Thank you for considering Guaranty Bank for your banking needs.
        OK Please acknowledge your eligibility.
  • Please enter the code to confirm your ability to view the required Portable Document Format (PDF) files. If the code isn't visible, click here to see code in new window or visit your nearest branch to apply for an account.

  • OK Error - Please enter the code to verify that you can view the required Portable Document Format (PDF) files. If the code isn't visible you will need to visit your nearest branch to apply for an account.

Basic Info

  • OK First Name is required
  • OK Middle Initial is required
  • OK Last Name is required
  • OK Email Address is required
  • OK Phone is required
  • OK Date of Birth is required
  • OK Social Security Number is required

Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
    OK Mailing address is different (Optional) is required

Mailing Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

Previous Address

  • Have you lived at this address for less than 2 years?

    OK You must select one of the following.
  • OK Previous Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

Identification

  • What form of ID would you prefer to use?

    OK What form of ID would you prefer to use? is required
  • OK License Number is required
  • OK State is required
  • (optional) OK Issue Date is required
  • OK Expiration Date is required
  • OK Passport Number is required
  • OK Expiration Date is required

Tax Status

    OK Please select one of the following.
  • What is this?

    If you have any questions about how to complete this section please download instructions.

Additional Information

  • OK Please choose your security question is required
  • OK Security Question Answer is required
  • OK Mothers Maiden Name is required
  • OK Employer is required
  • OK Occupation is required
  • OK Place of Birth is required
  • Are you applying for a checking account?

    OK Are you applying for a checking account? is required
  • Are you an existing Guaranty Bank customer?

    OK Are you an existing Guaranty Bank customer? is required
  • Would you like Internet Banking access with your checking account?

    OK Would you like Internet Banking access with your checking account? is required
  • Would you like an ATM/debit card with your account?

    OK Would you like an ATM/debit card with your account? is required
  • Would you like it mailed to you or printed at one of our banking centers?

    OK Would you like it mailed to you or printed at one of our banking centers? is required
  • OK Please select the branch location of choice is required
  • (optional) OK Promo Code is required
  • If you are designating a beneficiarie(s) on your account please check the box(es) below and provide their name and date of birth in the spaces provided.

    Optional OK Beneficiary No. 1 is required
  • OK Name is required
  • OK Date Of Birth is required
  • Optional OK Social Security Number is required
    Optional OK Beneficiary No. 2 is required
  • OK Name is required
  • OK Date Of Birth is required
  • Optional OK Social Security Number is required
    Optional OK Beneficiary No. 3 is required
  • OK Name is required
  • OK Date Of Birth is required
  • Optional OK Social Security Number is required

Joint Applicant

  • Will this be a joint account?

    OK Will this be a joint account? is required

Co-Applicant Basic Info

  • OK First Name is required
  • OK Middle Initial is required
  • OK Last Name is required
  • OK Email is required
  • OK Phone is required
  • OK Date of Birth is required
  • OK Social Security Number is required

Co-Applicant Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
    Optional OK Mailing address is different is required

Co-Applicant Mailing Address

  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

Co-Applicant Previous Address

  • Have you lived at this address for less than 2 years?

    OK You must select one of the following.
  • OK Previous Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

Co-Applicant Identification

  • What form of ID would you prefer to use?

    OK What form of ID would you prefer to use? is required
  • OK License Number is required
  • OK State is required
  • Optional OK Issue Date is required
  • OK Expiration Date is required
  • OK Passport Number is required
  • OK Expiration Date is required

Co-Applicant Tax Status

    OK Please select one of the following.
  • What is this?

    If you have any questions about how to complete this section please download instructions.

Additional Information

  • OK Please Choose Your Security Question: is required
  • OK Security Question Answer: is required
  • OK Mothers Maiden Name: is required
  • OK Employer: is required
  • OK Occupation: is required

    Important Information About Procedures for Opening a New Account:

    To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

    By submitting this application, you agree to the Kasasa Digital Technology Terms of Use Agreement.